- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.78 / $2,829.00 / $5,555.45
| Facility | | $154.78 | $2,829.00 | $5,555.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $707.42 / $2,740.28 / $5,711.66
| Facility | | $707.42 | $2,740.28 | $5,711.66 |
- Facility/Professional
- Facility
- Modifier
- 50
- Low / Median / High Price
- $3,664.75 / $5,560.23 / $9,749.37
| Facility | 50 | $3,664.75 | $5,560.23 | $9,749.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $378.82 / $537.50 / $1,293.02
| Facility | | $378.82 | $537.50 | $1,293.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $344.39 / $491.40 / $1,018.13
| Facility | | $344.39 | $491.40 | $1,018.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.96 / $300.54 / $3,265.08
| Facility | | $169.96 | $300.54 | $3,265.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,388.00 / $3,500.00 / $6,361.00
| Facility | | $1,388.00 | $3,500.00 | $6,361.00 |